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Survey about charlie chaplin, hollywoodland, beats, summer, cars and flip-flops.

Begin Survey

1. Do you have an annual check-up or exam with your family doctor? Yes No

2. Do you watch Saturday morning cartoons? Yes No

3. Will you visit a hardware or home improvement store this week? Yes No

4. Can you whistle? Yes No

5. Have you ever gotten a traffic ticket? Yes No

6. Have you ever taken dance lessons? Yes No

7. Do you own your own business or work for yourself? Yes No

8. Do you brush your teeth before bed each night? Yes No

9. Do you wear sandals/flip-flops in the summer? Yes No

10. Will you send anyone a printed holiday, birthday, or anniversary card this week? Yes No

11. Do you use a dishwasher to do your dishes? Yes No

12. Do you have cable or satellite television? Yes No

13. Do you use charge cards? Yes No

14. Have you ever been tested for HIV? Yes No

15. Do you drink milk? Yes No

16. Do you enjoy board games? Yes No

17. Do you listen to talk radio? Yes No

18. Do you own your home? Yes No

19. Would you like a free video or CD-ROM with more information on owning or renting an RV? Yes No

Your Firstname:

Your Emailaddress:

Yes, I would like to join the Daily Life Survey!

Fun and Interesting facts: - Charlie Chaplin once won third prize in a Charlie Chaplin look alike contest. - Headache pain can be reduced by eating 20 tart cherries. - During a typical human life span, the human heart will beat approximately 2.5 billion times. - The Hollywood sign was first erected in 1923. It was first erected as 'Hollywoodland.'

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